Juan, Vicente Mario

Juan, Vicente Mario is an sole proprietor health care provider with primary practice located at 1425 Santa Fe , Corpus Christi TX 78404-2105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Juan, Vicente Mario can be contacted via phone (361) 887-9995.

Contact Information

Primary practice address
1425 Santa Fe Corpus Christi TX 78404-2105
Phone: (361) 887-9995
Fax: (361) 887-8464
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X F1691 Texas

Profile Details

NPI number 1942348719
LBN Legal business name Juan, Vicente Mario
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2007
Last updated Sep 29th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942348719 NPPES
Texas MEDICAID 113988301
Texas Other 008G86

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